Active NPI
Lee Wellness Chiropractic Corporation
- Chiropractor
- Woodland, CA
National Provider Identifier
1306343744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC16192
- Legal business name
- LEE WELLNESS CHIROPRACTIC CORPORATION
- Practice address
- 1115 Cottonwood St
Woodland, CA 95695-4318 - Phone
- (530) 661-1375
- Fax
- (530) 661-1199
- NPI assigned
- Apr 11, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Patricia Romo
- Title
- Office Manager
- Phone
- (530) 661-1375
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC16192 | CA | Primary |
Addresses
Primary practice location
1115 Cottonwood St
Woodland, CA 95695-4318
Mailing address
1115 Cottonwood St
Woodland, CA 95695-4318
Phone (530) 661-1375
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180613002431 | CA | Part B Supplier - Clinic/Group Practice | 7113272238 | Practice locations: Woodland, CA |
National Provider Directory
National Provider DirectoryLocations
1115 Cottonwood St
Woodland, CA 95695
Phone (530) 661-1375
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Woodland, CA
- NPI 1104957133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523404800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1523404800000",
"number": "1306343744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1115 COTTONWOOD ST",
"city": "WOODLAND",
"state": "CA",
"postal_code": "956954318",
"telephone_number": "530-661-1375",
"fax_number": "530-661-1199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1115 COTTONWOOD ST",
"city": "WOODLAND",
"state": "CA",
"postal_code": "956954318",
"telephone_number": "530-661-1375",
"fax_number": "530-661-1199"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEE WELLNESS CHIROPRACTIC CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-11",
"last_updated": "2018-04-11",
"status": "A",
"authorized_official_last_name": "ROMO",
"authorized_official_first_name": "PATRICIA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "530-661-1375"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "CA",
"license": "DC16192",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.